Wrinkles

Wrinkles, a natural part of aging, are most prominent on sun-exposed skin, such as the face, neck, hands and forearms.

Symptoms

Wrinkles are the lines and creases that form in your skin. Some wrinkles can become deep crevices or furrows and may be especially noticeable around your eyes, mouth and neck.

When to see a doctor

If you’re concerned about the appearance of your skin, see a dermatologist. He or she can assess your skin and help you create a personalized skin care plan. A dermatologist can also recommend medical wrinkle treatments.

Causes

Wrinkles are caused by a combination of factors — some you can control, others you can’t:

As you get older, your skin naturally becomes less elastic and more fragile. Decreased production of natural oils dries your skin and makes it appear more wrinkled. Fat in the deeper layers of your skin diminishes. This causes loose, saggy skin and more-pronounced lines and crevices.

Exposure to ultraviolet (UV) light.

Smoking.

Repeated facial expressions. .

Treatments and drugs

If your wrinkles bother you, you have many options to help smooth them or reduce their appearance. Wrinkle treatments include:

Medications

Topical retinoids. Derived from vitamin A, retinoids — such as tretinoin and tazarotene — that you apply to your skin may reduce fine wrinkles, splotches and skin roughness.

Nonprescription wrinkle creams.

Surgical procedures and other techniques

Laser, light source and radiofrequency treatments.

Chemical peel.

Dermabrasion.

Microdermabrasion

Botulinum toxin type A (Botox).

Soft tissue fillers.

Skin tightening.

Face-lift.

Prevention

Here are ways to make the most of your skin’s appearance:

Protect your skin from the sun. Protect your skin — and prevent future wrinkles — by limiting the time you spend in the sun and always wearing protective clothing, such as wide-brimmed hats, long-sleeved shirts and sunglasses. Also, use sunscreen when outdoors, even during winter.